Individual
MS. RENEE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
9403 RUTHERGLEN DR, DALLAS, TX 75227-4764
(214) 738-4668
Mailing address
9403 RUTHERGLEN DR, DALLAS, TX 75227-4764
(214) 738-4668
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT103060
TX
Other
Enumeration date
11/24/2017
Last updated
03/17/2018
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